The American Diabetes Association recommends that patients aim for a small but consistent weight loss of 1 to 2 pounds per week. Most patients should follow a diet that supplies at least 1,000 – 1,200 kcal/day for women and 1,200 – 1,600 kcal/day for men. Even modest weight loss can reduce the risk factors for heart disease and diabetes. There are many approaches to dieting and many claims for great success with various fad diets. They include calorie restriction, low-fat/high-fiber, or high protein and fat/low carbohydrates. Some evidence suggests that people may respond differently to specific diets depending on whether their weight is overly distributed around the abdomen. Lifelong changes in eating habits, physical activity, and attitudes about food and weight are essential to weight management. Unfortunately, although many people can lose weight initially, it is very difficult to maintain weight loss. People with type 2 diabetes may have a particularly difficult time.